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Individual

AMANDA DITTENHOEFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3880 COLONIAL BLVD STE 2, FORT MYERS, FL 33966-1062
(239) 351-3715
(239) 310-2045
Mailing address
14072 WINDING CEDAR WAY, FORT MYERS, FL 33913-9584
(845) 219-0304

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ12991
FL

Other

Enumeration date
11/20/2025
Last updated
11/20/2025
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